NAMs Menopause Certification
Exam Questions and Answers 100%
PASS
Climacteric phase - CORRECT ANSWER-The period of endocrinologic, somatic,
and transitory psychologic changes that occur around the time of menopause.
Early menopause - CORRECT ANSWER-LMP before age 45.
Late menopause - CORRECT ANSWER-LMP after age 54.
Primary ovarian insufficiency - CORRECT ANSWER-Menopause that occurs
before age 40.
Early menopause transition (stage -2) - CORRECT ANSWER-Persistent
difference of 7 days or more in the length of consecutive cycles.
Late menopause transition (stage -1) - CORRECT ANSWER-60 or more
consecutive days of amenorrhea.
Luteal out of phase event (LOOP) - CORRECT ANSWER-Explains why some
perimenopausal women have elevated estrogen levels sometimes.
,Obese women and estradiol levels during menopause - CORRECT ANSWER-
Obese women are more likely to have anovulatory cycles with high estradiol levels.
Chinese and Japanese women - CORRECT ANSWER-These ethnic groups have
lower estradiol levels than white, black, and Hispanic women.
Stage +2 - CORRECT ANSWER-Late menopause stage: 5-8 years after FMP.
Somatic aging predominates.
Stages +1a, +1b, +1c - CORRECT ANSWER-Early post menopause: 2 years after
FMP. FSH rises, estradiol decreases.
Elevated FSH, LH - CORRECT ANSWER-Endocrine labs after menopause.
AMH, inhibin B - CORRECT ANSWER-These hormones work during
reproductive years to not deplete follicle pool too quickly.
Phases during menopause transition and PMS symptoms - CORRECT ANSWER-
Menstrual cycle variable, persistent >7 day difference between difference in length
of consecutive cycles.
How to respond if a patient requests FSH lab? - CORRECT ANSWER-Many
pitfalls, variable depending on the day of the cycle you draw the lab.
The potentially superior marker of menopause, a lab. - CORRECT ANSWER-
AMH.
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,DHEA (dehydroepiandrosterone) - CORRECT ANSWER-Adrenal androgens:
precursor hormones produced by the adrenal gland that are enzymatically
converted to active androgens or estrogens in peripheral tissues.
Location of estrogen receptors - CORRECT ANSWER-Vagina, vulva, urethra,
trigone of the bladder.
Effects of estrogen on tissue - CORRECT ANSWER-Maintain blood flow, the
collagen, and HA within the epithelial surfaces.
Vaginal changes with menopause - CORRECT ANSWER-Thinning, loss of
elasticity, loss or absence of rugae.
Vagina and urethra in menopause - CORRECT ANSWER-Vagina narrows,
urethra moves closer to the introitus.
Stress urinary incontinence - CORRECT ANSWER-Vaginal estrogen and urinary
incontinence: what type does it help with?
Treatment for FPHL - CORRECT ANSWER-Minoxidil, spironolactone,
finasteride, estrogen therapy.
Late reproductive years -3b and -3a - CORRECT ANSWER--3b: menstrual cycles
normal, FSH normal, AMH low, AFC low, inhibin low. -3a: subtle menstrual
changes, variable FSH, AMH low, AFC low, inhibin low.
, When it is appropriate to check an FSH during the cycle if you check it? -
CORRECT ANSWER-Cycle day #3. Elevated estradiol can suppress FSH giving a
falsely normal FSH level.
AFC - CORRECT ANSWER-Antral follicle count. Number of follicles that are
detectable with ultrasound.
Late menopause transition (-1) FSH level on random draw - CORRECT
ANSWER-25 or higher.
Black women have higher or lower FSH levels? - CORRECT ANSWER-Higher.
Chinese and Japanese women have higher or lower estradiol levels compared to
white, black and Hispanic women? - CORRECT ANSWER-Lower.
Menopause transition-changes in SHBG and testosterone? - CORRECT
ANSWER-SHBG decreases. Testosterone/SHBG ratio increases by 80%.
Testosterone/SHBG ratio is called what? - CORRECT ANSWER-The free
androgen index.
What stage are VMS more likely? - CORRECT ANSWER-+1b (generally last 2
years).
What hormone is generally higher in obese women? - CORRECT ANSWER-
Estrone-via aromatization.
COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED
Exam Questions and Answers 100%
PASS
Climacteric phase - CORRECT ANSWER-The period of endocrinologic, somatic,
and transitory psychologic changes that occur around the time of menopause.
Early menopause - CORRECT ANSWER-LMP before age 45.
Late menopause - CORRECT ANSWER-LMP after age 54.
Primary ovarian insufficiency - CORRECT ANSWER-Menopause that occurs
before age 40.
Early menopause transition (stage -2) - CORRECT ANSWER-Persistent
difference of 7 days or more in the length of consecutive cycles.
Late menopause transition (stage -1) - CORRECT ANSWER-60 or more
consecutive days of amenorrhea.
Luteal out of phase event (LOOP) - CORRECT ANSWER-Explains why some
perimenopausal women have elevated estrogen levels sometimes.
,Obese women and estradiol levels during menopause - CORRECT ANSWER-
Obese women are more likely to have anovulatory cycles with high estradiol levels.
Chinese and Japanese women - CORRECT ANSWER-These ethnic groups have
lower estradiol levels than white, black, and Hispanic women.
Stage +2 - CORRECT ANSWER-Late menopause stage: 5-8 years after FMP.
Somatic aging predominates.
Stages +1a, +1b, +1c - CORRECT ANSWER-Early post menopause: 2 years after
FMP. FSH rises, estradiol decreases.
Elevated FSH, LH - CORRECT ANSWER-Endocrine labs after menopause.
AMH, inhibin B - CORRECT ANSWER-These hormones work during
reproductive years to not deplete follicle pool too quickly.
Phases during menopause transition and PMS symptoms - CORRECT ANSWER-
Menstrual cycle variable, persistent >7 day difference between difference in length
of consecutive cycles.
How to respond if a patient requests FSH lab? - CORRECT ANSWER-Many
pitfalls, variable depending on the day of the cycle you draw the lab.
The potentially superior marker of menopause, a lab. - CORRECT ANSWER-
AMH.
COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED
,DHEA (dehydroepiandrosterone) - CORRECT ANSWER-Adrenal androgens:
precursor hormones produced by the adrenal gland that are enzymatically
converted to active androgens or estrogens in peripheral tissues.
Location of estrogen receptors - CORRECT ANSWER-Vagina, vulva, urethra,
trigone of the bladder.
Effects of estrogen on tissue - CORRECT ANSWER-Maintain blood flow, the
collagen, and HA within the epithelial surfaces.
Vaginal changes with menopause - CORRECT ANSWER-Thinning, loss of
elasticity, loss or absence of rugae.
Vagina and urethra in menopause - CORRECT ANSWER-Vagina narrows,
urethra moves closer to the introitus.
Stress urinary incontinence - CORRECT ANSWER-Vaginal estrogen and urinary
incontinence: what type does it help with?
Treatment for FPHL - CORRECT ANSWER-Minoxidil, spironolactone,
finasteride, estrogen therapy.
Late reproductive years -3b and -3a - CORRECT ANSWER--3b: menstrual cycles
normal, FSH normal, AMH low, AFC low, inhibin low. -3a: subtle menstrual
changes, variable FSH, AMH low, AFC low, inhibin low.
, When it is appropriate to check an FSH during the cycle if you check it? -
CORRECT ANSWER-Cycle day #3. Elevated estradiol can suppress FSH giving a
falsely normal FSH level.
AFC - CORRECT ANSWER-Antral follicle count. Number of follicles that are
detectable with ultrasound.
Late menopause transition (-1) FSH level on random draw - CORRECT
ANSWER-25 or higher.
Black women have higher or lower FSH levels? - CORRECT ANSWER-Higher.
Chinese and Japanese women have higher or lower estradiol levels compared to
white, black and Hispanic women? - CORRECT ANSWER-Lower.
Menopause transition-changes in SHBG and testosterone? - CORRECT
ANSWER-SHBG decreases. Testosterone/SHBG ratio increases by 80%.
Testosterone/SHBG ratio is called what? - CORRECT ANSWER-The free
androgen index.
What stage are VMS more likely? - CORRECT ANSWER-+1b (generally last 2
years).
What hormone is generally higher in obese women? - CORRECT ANSWER-
Estrone-via aromatization.
COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED
